Individual
KENNETH SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
7151 LOCKWOOD LN, INDIANAPOLIS, IN 46217-4017
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1075837
KY
163W00000X
Registered Nurse
Primary
99023876A
IN
163W00000X
Registered Nurse
RN 9243280
FL
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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